Impact of Physical Growth and Development on Paediatric Lower-Limb Prosthetic Provision: Prosthetist Perspectives and Clinical Casefile Analysis From Cambodia

This study is the first to interview paediatric prosthetists to assess growth-related challenges, identify mitigation strategies, and combine these qualitative findings with hard clinical evidence. PP prosthetic systems offer cost-effectiveness and increased adjustability compared to modular components and carbon fibre sockets. However, this adjustability is still limited, leading to waste of resources and increased clinical time. Finally, longer-than-recommended replacement timelines are concerning, and more research is necessary to understand these longer delays. Addressing these limitations is crucial, particularly in low-resource environments, to improve accessibility and prevent secondary impairments.